<!DOCTYPE html>
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<html> 
<head>
        <title>Cita Paciente</title>
        <meta charset="UTF-8">
        <meta name="viewport" content="width=device-width, initial-scale=1.0">
    </head>
    <body>
        <table>
            <tr>
           		<td>Fecha :</td>
           		<td><select size="1" name="Fechas">
				<option value=" 10/10/2014 ">10/10/2014</option>
				<option value=" 12/10/2014 ">12/10/2014</option>
				<option value=" 23/10/2014 ">23/10/2014</option>
				<option value=" 16/11/2014 ">16/11/2014</option>
				<option value=" 23/11/2014 ">23/11/2014</option>
				<option value=" 30/11/2014 ">30/11/2014</option>
				<option value=" 01/11/2014 ">01/11/2014</option>
                            </select> </td>                          
           </tr>
           <tr>
           		<td><input type="submit" value="Seleccionar"></td> 
           		<td><input type="button" value="Eliminar cita" /></td>
           </tr>
            
        </table>
        
    </body>
</html>